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DR. SAMANTHA R AVERY D.O.
NPI 1215178090
Internal Medicine - Cardiovascular Disease in South Pasadena, FL

Active since March 09, 2009PECOS EnrolledAccepts Medicare Assignment
1615 PASADENA AVE S STE 300, SOUTH PASADENA, FL 33707(277) 490-3030 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 31, 2022, Aug 27, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Dr. Samantha R Avery D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA R AVERY D.O. (NPI 1215178090) is an individual cardiovascular disease provider in South Pasadena, Florida, licensed in Florida (OS 11371) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1215178090
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAMANTHA R AVERYCredential: D.O.
Location Address1615 PASADENA AVE S STE 300South Pasadena, FL 33707-4567
Mailing Address4560 7th Ave NSt Petersburg, FL 33713-6218 · (407) 719-3370 · Fax (917) 831-4677
Phone(277) 490-3030
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateMarch 9, 2009
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1215178090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in FL · OS 11371✔ Licensed in OH · 34.016407✔ Licensed in PA · OS022821✔ Licensed in OR · DO214145✔ Licensed in IN · 01089349A✔ Licensed in CT · 73591✔ Licensed in AZ · 010143✔ Licensed in CO · DR.0070152✔ Licensed in SC · 92684✔ Licensed in NY · 339916✔ Licensed in NC · 25MB11818700✔ Licensed in NM · DO2023-1051✔ Licensed in NV · DO3464✔ Licensed in NJ · 25MB11818700
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1615 PASADENA AVE S STE 300, South Pasadena, FL 33707
Open in Google Maps ↗

Other Identifiers 1

OtherHT787ZFL · Medicare Id-type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha R Avery D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143443697
PECOS Enrollment IDI20140602001029, I20230331002692, I20230622003161, I20230630002288, I20231121000782
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%2,250 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
95%585 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%317 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%977 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%954 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
38%586 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%991 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
76%532 patients4/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
16%968 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%954 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%954 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 561 patients
0%561 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%954 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANITA RAVI M.D
Internal Medicine (Cardiovascular Disease)
1615 PASADENA AVE S STE 300
SOUTH PASADENA, FL 33707
Pinellas County (727) 490-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Avery's NPI number?

The NPI number for Samantha Avery is 1215178090. It was assigned to this individual provider in the NPPES registry on March 9, 2009.

Where is Samantha Avery located?

Samantha Avery practices at 1615 Pasadena Ave S Ste 300, South Pasadena, FL 33707. The listed phone number is (277) 490-3030.

What is Samantha Avery's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samantha Avery enrolled in Medicare?

Yes. Samantha Avery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Avery accept?

Health plans from BlueCross BlueShield of South Carolina, CareSource, Moda Health Plan, Inc., Oscar Health Insurance and Providence Health Plan list Samantha Avery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Avery was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.